Active NPI
Matthew G Lanum, D.C.
- Chiropractor
- Bernardsville, NJ
National Provider Identifier
1275684904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00462500
- Practice address
- 40 Morristown Rd
Suite 1E
Bernardsville, NJ 07924-2310 - Phone
- (908) 221-1334
- NPI assigned
- Jan 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00462500 | NJ | Primary |
Addresses
Primary practice location
40 Morristown Rd
Suite 1E
Bernardsville, NJ 07924-2310
Mailing address
40 Morristown Rd
Suite 1E
Bernardsville, NJ 07924-2310
Phone (908) 221-1334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050211000147 | NJ | Practitioner - Chiropractic | 0840242434 | Practice locations: Bernardsville, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
40 Morristown Rd
Bernardsville, NJ 07924-2310
Phone (908) 221-1334
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somerset Hills Eye Care Center | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6928/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Bedminster, NJ
- NPI 1922139666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275684904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 MORRISTOWN RD",
"address_2": "SUITE 1E",
"city": "BERNARDSVILLE",
"state": "NJ",
"postal_code": "079242310",
"telephone_number": "908-221-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MORRISTOWN RD",
"address_2": "SUITE 1E",
"city": "BERNARDSVILLE",
"state": "NJ",
"postal_code": "079242310",
"telephone_number": "908-221-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANUM",
"first_name": "MATTHEW",
"middle_name": "G",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00462500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bernardsville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.